Individual
GEORGE PANAS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 BROWN ST, CHESTERTOWN, MD 21620-1435
(410) 778-1311
(410) 778-0623
Mailing address
24164 KINNARDS POINT DR, WORTON, MD 21678-1315
(410) 810-3949
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
D53250
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
112941
COVENTRY
MD
01
—
38066
PRIORITY PARTNERS
MD
01
—
423043
BCBS POINT OF SERVICE
MD
01
—
558450
MAMSI/MD IPA/OPT. CHOICE
MD
01
—
LU86CH
CAREFIRST BC/BS
MD
01
—
W1610002
BC/BS FEDERAL
MD
Enumeration date
06/15/2006
Last updated
07/08/2007
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